| NPI | 1952473233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA KIRKPATRICK Business Office Manager 605-224-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-04-28 |